Validación de la Escala sobre Habilidades de Comunicación

  1. Leal-Costa, C. 1
  2. Tirado González, S. 2
  3. Ramos-Morcillo, A.J. 1
  4. Díaz Agea, J.L. 3
  5. Ruzafa-Martínez, M. 1
  6. van-der Hofstadt Román, C.J. 4
  1. 1 Departamento de Enfermería. Universidad de Murcia. Murcia
  2. 2 Instituto de Investigación Sanitaria y Biomédica de Alicante. Alicante
  3. 3 Departamento de Enfermería. Universidad Católica de Murcia. Murcia
  4. 4 Unidad de Psicología Hospitalaria. Hospital General Universitario de Alicante. Alicante
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Journal:
Anales del sistema sanitario de Navarra

ISSN: 1137-6627

Year of publication: 2019

Volume: 42

Issue: 3

Pages: 291-301

Type: Article

DOI: 10.23938/ASSN.0745 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Anales del sistema sanitario de Navarra

Abstract

Background. The Communication Skills Scale (CSS) is an instrument for evaluating communication skills in different health professionals; however, a differential analysis of their psychometric properties by professions and specific scales has not been performed. Therefore, the aim of the present study was to analyze the psychometric properties of the CSS and develop T-scores for the scale for nursing professionals. Material and Methods. We developed an instrumental study to analyze the psychometric properties of the CSS, evaluating its items, reliability, evidence of validity and its internal structure. For this purpose, a battery of questionnaires was administered, which included the CSS, the General Self-efficacy Scale and the Specific Self-efficacy Scale for communication in difficult situations.Results. The questionnaires were applied to 692 nurses. Discrimination indices >0,30 were obtained in all items. The confirmatory factor analysis of the two models (with four oblique factors and adding a second-order factor) revealed that all items had adequate factor loadings and the fit indices of both models were good. The internal consistency was 0,88 for the total scale and between 0,70 and 0,77 for the dimensions. A positive relationship between communication skills and general and specific self-efficacy was obtained. Conclusion. The CSS displayed appropriate psychometric properties (item analysis, internal structure, reliability and evidence of validity), relating the communication skills of nurses with their general and specific self-efficacy in communication in difficult situations.

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El estudio de la dimensionalidad se rea-lizó mediante AFC a través de modelos de ecuaciones estructurales para evaluar el grado en el que los ítems y las dimensiones del cuestionario conforman el instrumento original. Se utilizó el método de Máxima Verosimilitud (MV) para estimar los pará-metros del modelo, previa comprobación del supuesto de normalidad. Se usaron los índices de ajuste: χ2/gl, IFI (Incremental Fit Index), TLI (Tucker-Lewis Index), CFI (Comparative Fit Index), RMSEA (Root Mean Square Error of Approximation), y SRMR (Standardised Root Mean Square Residual). Generalmente, cuanto menores sean los va-lores de χ2/gl (< 3), RMSEA (≤ 0,06) y SRMR (≤ 0,08), y mayores los de IFI, TLI y CFI (> 0,90), mejor es el ajuste del modelo29.

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